Systemic Functional Linguistics and Applicable †MyAssignmenthelp.com

Question: Examine about the Systemic Functional Linguistics and Applicable. Answer: Presentation This exposition centers around how understudies learning English as an extra language can be instructed to guarantee that they understand various ideas just as those to whom English is a local language. These understudies require viable and nice instructional method during the time spent conveying thoughts and musings with them. It is fundamental for the instructors to think about the understudies perspectives as they acquaint them with new data. The fundamental focal point of the paper is on foundational utilitarian syntax and on the distinctive linguistic ideas that understudies should be acquainted with. The paper centers around words, syntax and other key language angles for understudy of various levels. The homeroom can be a brutal situation to fathom the English language effectively. Instructors and understudies who have a recognition with each other could make presumptions and talk rapidly during correspondence. In certain examples, a few things might be left implied, and explicit standards could be authorized by the utilization of a look. Signals could likewise be utilized to break up any misconceptions that may exist process (Taverniers, 2010). Colloquialisms that are regularly utilized might be bandied about absent a lot of thought for their ambiguity to individuals who are newcomers to the English talking areas. Foundational utilitarian phonetics is the investigation of the relationship that exists among language and the capacities that it serves in social settings. The etymological framework is comprised of three layers in fundamental utilitarian phonetics. These are; lexicogrammar or wording, phonology or sound, and semantics (Almurashi, 2016). Punctuation is treated as an asset that guides during the time spent creation implications. In this manner, the fundamental practical phonetics demand the connection among importance and structure. Understudies need to learn various ideas in the English language to turn out to be better at imparting utilizing the language. It is along these lines significant for educators to show understudies the various strategies, for example, similitudes, expressions, likenesses, facetious inquiries, and similar sounding word usage among others. Understudies likewise ned to learn god text association methods (DECD, 2014). In the Australian educational program, building up the proficiency collections and the language assets accessible to understudies is a basic showing segment in accordance with the proficiency ability. Educators along these lines need to work inside a system to guarantee that they can enough help their understudies (DECD, 2016). Educating ought to be orderly to continuously acquaint understudies with new ideas to empower the understudies to deal with their new learning and become increasingly autonomous. By chance, level four understudies convey utilizing straightforward words and sentences. At level five, they start utilizing various expressions and straightforward sentence openers and at level six, they use connectives to join various sentences. Thusly, at level seven, they utilize increasingly complex words and differ their sentence openers more. Four noteworthy hypothetical cases have been made by various researchers about the English language. In the first place, language use is supposed to be practical; it is likewise said that the significance of language use is to make implications (semantic), the implications achieved by language are additionally expected to be relevant. This implies they are affected by the social and social settings in which they are utilized. At last, the procedure where language is utilized is supposed to be semiotic, implying that it is a procedure wherein significance is settled on through decision (Matthiessen, 2012). Halliday (2010), additionally said that the advancement of language has happened in an offered to react to three needs of the social-useful nature. To begin with, it has happened to help in translating experience about things that are going on inside and around us. Furthermore, it was created to help during the time spent interfacing with the social world through arranging perspectives and social jobs. At long last, language improvement came to fruition to aid the making of messages that can bundle people groups implications dependent on what the beginning stage of the message is. This is alluded to as the topic of the message. During the time spent showing understudies who are learning English as an extra language various assets can be utilized. By chance, understudies in year level three can utilize games, stories, photographs, and web journals among others (Martin, 2014). These assets empower the understudies to be progressively mindful and take part in the learning procedure which expands the levels at which they get data. Utilization of the Documents in Teaching Activities The archive Three Levels of Texton Tornadoes has a lot of sections that could be utilized for various learning exercises. One movement is the utilization of a cloze book. Unexpectedly, on page five of the article, the section that discussions about the term of tornadoes can be transformed into a cloze test. This can be utilized to test the understudies comprehension of various highlights of the language. These incorporate; tenses, conjunctions, descriptors, accentuation, relational words, and articles. In this way, various words can be expelled from the passage and understudies can be required to fill them in with the correct type of the words(Derewianka, 2012). This will assist understudies with acing the English language and become better after some time with training. Another action that can be done to advance the understudies perception of the English language is the utilization of mistake amendment works out. This is the circumstance whereby the educator revamps a passage while adjusting a portion of the words to make the content syntactically wrong and afterward requesting that the understudies recognize and right the errors contained in the writings. This movement will help understudies to commit a note of the errors they have been making and thusly right their composed and spoken syntax (Acara, 2013). Understudies can likewise be gotten out and requested to decipher a section in their local language in an offer to assess whether they have appropriately comprehended the content. On the other hand, the understudies can be approached to give a few words in their local language that have been utilized in the content and afterward interpret them. This will help the understudies in completely understanding what the various words mean. Understudies can likewise be told to complete exercises, for example, distinguishing designs that exist in a book, looking at changed writings, they shuld be asked higher request inquiries, and they can likewise be gotten some information about specific points in English (EACD, 2016). At last, understudies can be approached to distinguish new jargon that is contained in the content and afterward look into the implications and develop a sentence utilizing the words. This will guarantee that the words won't be overlooked. The examination of these two writings can be performed based on field, tenor, and mode. The field of a book illuminates about the area of experience that the content is about. The field is, in this manner, an experiential metafunction component of a book. During the time spent assessment of a book for its field, two fundamental components should be thought of. To start with, it is imperative to look at the lexical things contained in the content. These are single words or a chain of words that are the fundamental segments of a writings jargon. Lexical words in a book can likewise be spoken to by the things present in the content (Lukin et al., 2011). In this examination, we can take a gander at the semantic areas from which the words allude to. This guides in better understanding of writings since certain words are utilized in one order more than they are utilized in another control. In the content The Levels of Texton Tornadoes,' various words have been utilized that show what the content is about. These incorporate; tornadoes, rainstorms, radial power, centripetal, invented power, incomplete vacuum, focal center, storm, photogrammetry, doppler radar, distracting rates, and wind stream. These words show that the content is discussing tornadoes because of the consistent redundancy of the word. Different words show that the content is clarifying how the tornadoes happen and how they are estimated by various variables. Then again, the content Three Genres on Flight has words that can determine what the content is about by simply taking a gander at the content without understanding it. The words incorporate; planes, shuttle, Airbus, air travel, flight, air terminal, control tower, pilot, runway, and taking off. These words utilized together in a book show that the message being conveyed in that text has to do with a clarification of flying in a plane. Furthermore, certain lexical words can be utilized dependent on whether the crowd is particular or summed up (Acara, 2013). This guides in clarifying better about the crowd for which the content is planned. In the content Three Levels of Texton Tornadoes, three writings are made for three unique crowds. The main content that is intended for grade school understudies has direct words, and it is compact. It is additionally explanative whereby it is planned for disclosing to the understudies what a tornado is, what it looks like, the speed at which it moves, and the antagonistic impacts that are achieved by tornadoes. The subsequent content is composed for optional level understudies. The content starts with a clarification about tornadoes, yet it doesn't characterize what they are on the grounds that this is a propelled degree of training and it is normal that understudies know about what tornadoes are. The content clarifies about the powers that lead to the arrangement of tornadoes. The content likewise talks about the impacts of tornadoes by giving the demise rates over the previous century. This content is, along these lines, more top to bottom than the one expected for grade school understudies, and it utilizes increasingly complex words. It is additionally any longer since understudies in the auxiliary degree of training can have the option to suit more data and they have a more drawn out fixation range. The third content is expected for understudies in the tertiary leve

Big Fat Tax Analysis

In the article â€Å"Big fat expense is no gut buster† writer Susie O’brien assaulting the new assessment on the cheap food industry. By the initial motto, â€Å"DON’T charge the huge mac† she states her situation on the duty. Written in intense the motto quickly grabs the attention and as it cunningly rhymes is truly important. The creator proceeds in establishing her remaining on the issue by saying that a low quality nourishment charge isn't the appropriate response and the non-serious inquiry that, â€Å"why should decreasing our weight start with our wallets? Her intended interest group with this piece would be those for the expense as she contends that there are drawbacks to an assessment on cheap food just as options that could be better. The picture put in the focal point of the article shows a man made of cheap food. It identifies with the subject of the article yet regardless of the measure of oily inexpensive food likewise appears to be tantali zing. The creator additionally expresses that she is certainly for helping overweight Australians anyway that a fat duty isn't the answer.We see conversational language which makes a sentiment of agreeableness with the creator when she expresses a fat expense is such a, â€Å"one-pronged solution† while likewise excusing the thought as little disapproved. The tone she has written in convinces perusers to concur as she says, â€Å"it (government) can evacuate each cursed low quality nourishment candy machines from exercise centers, sport club houses and schools. † The force wherein the creator says this offers her expression a genuine energizing point as though she is a piece of a protest.Whilst stacked language like â€Å"damned† and the logical/stacked inquiry of â€Å"why do such a significant number of guardians reward kids for playing sport with a bundle of chips? † This sentence gives perusers who do this a feeling of blame while the individuals who don’t may think that its entertaining. She at that point proceeds to give the crowd another person to fault for their fat with the facetious inquiry of, â€Å"Why not start by taking action against reckless food marking? She proceeds with certainty and exploration as she expresses that every one of our nourishments seem to be, â€Å"choc-brimming with harmful fixings like soaked fats, trans fats, palm oil and high-fructose corn syrup, which is one of the main sugars in food, however is difficult for the body to successfully separate. † This causes the writer to appear to be educated regarding the matters which can convince perusers into believing her as she unmistakably hear what she’s saying. The creator gives numerous options in contrast to a fat expense which appear to be easy to force just as intelligent to decreasing stoutness rates.The creator proposes thoughts, for example, setting up more secure person on foot walkways with the goal that individuals (pa rticularly kids) may stroll to spots, for example, the nearby shops/schools. Inside these elective arrangements she would now be able to betray the fat assessment by utilizing stacked sentences, for example, â€Å"Why does each social arrangement appear to include removing cash from my pocket and placing it into Treasury? † just as, â€Å"In short, in the event that it (the administration) needed to, it could leave this issue speechless. Be that as it may, rather it's being enlightened only to expand taxes.Talk concerning rebuffing the person in question. † The writer gets to know her crowd and causes it to appear she’s one of us/on our side with the goal that it convinces perusers to come round to her view. Her utilization of non-serious inquiries makes perusers come to suppositions that she needs them to. While likewise giving them somebody to fault in the administration implying that they are just out for out cash. Her ground-breaking last sentence, â€Å"So we should overlook trends like assessment on cheap food, that will simply make takeaways progressively costly and will never really change the manner in which individuals live their lives.Let's accomplish more to change each and every day to make life more advantageous for everybody. † leaves perusers with a feeling of obligation and that the author’s point is basically to support us, the individuals convincing us to be against the fat assessment. Susie O’brien utilizes facetious inquiries and stacked language to urge perusers into making presumptions about the administration and the fat duty. Smart trademarks and symbolism causes her contentions be noteworthy just as coherent. She makes somebody to fault just as elective arrangements which causes a fat expense to appear to be little disapproved. This convinces perusers to concur with her postion.

BP Portfolio Essay Example | Topics and Well Written Essays - 3000 words

BP Portfolio - Essay Example In the following segment, the examination will reveal insight into issues in regards to sorts of individuals that are significant for the association, issues being looked by workers in British Petroleum (BP) while haggling with others, assessing effect of referenced clash on hierarchical achievement and suggestions for tending to individuals driven clash circumstance in BP. As indicated by Huczynski and Buchanan (2010) and Fuller and Marler (2009), hierarchical viability relies vigorously upon its capacity to oversee execution, work mentality and individual traits of representatives. Fuller and Marler (2009) contended that neither do individuals in the association perform similarly well nor are they considered as similarly significant, because of distinction in aptitude and competency level. Mullins and Christy (2013) additionally bolstered the way that character and work demeanor of people need to coordinate with execution desire and vision articulation of the association so as to c haracterize those people as significant. ... As per Schuster’s (2012) report [Helmut Schuster is Group HR Director in BP], human asset division of BP follows five stage model to choose human capital who can give significant and important commitment to business accomplishment of the organization. These five stages can be characterized as, 1-pulling in best worldwide ability through severe capability rules, 2-giving preparing and creating aptitude competency among initiates, 3-conveying differing progression intending to guarantee consistent flexibly of ability pool, 4-dealing with the inspiration of people through straightforward execution based prize framework and 5-connecting with representatives in information sharing and comprehensive hierarchical culture so as to upgrade their commitment level. BP needs certain range of abilities from the recruited, for example, solid scholarly foundation, capacity to get a handle on specialized and cross-practical information adequately, capacity to settle on choices in unforeseen a nd basic circumstance, planning and speaking with different individuals while working in group and capacity to convey execution in a predictable way (Schuster, 2012). According to the ability necessities of BP, three sorts of individuals might be best for the association. Type 1-this arrangement of individuals can be named aspirer or people, who join BP for accomplishing materialistic targets (British Petroleum, 2012). These arrangement of individuals are prepared to follow business destinations and execution of codes of British Petroleum, in non-reluctant way, for accomplishing high vocation development. As inspiration of these representatives is driven by monetary result and profession development, subsequently it gets hard for British Petroleum to hold commitment level of these individuals in reasonable way. Type 2-this arrangement of

Basic Concepts of Sociology free essay sample

Society The term society is generally central to humanism. It is gotten from the Latin word socius which implies friendship or companionship. Friendship implies amiability. As per George Simmel it is this component of amiability which characterizes the genuine quintessence of society. It demonstrates that man consistently lives in the organization of others. Man is a social creature said Aristotle hundreds of years prior. Man needs society for his living, working and appreciating life. Society h as become a basic condition for human life to proceed. We can characterize society as a gathering of individuals who share a typical culture, possess a specific regional region and feel themselves to comprise a bound together and particular element. It is the common entomb activities and interrelations of people and gatherings. Meanings of Society 1. August Comte the dad of humanism considered society to be a social life form having a congruity of structure and capacity. 2. Emile Durkheim the establishing father of the advanced human science regarded society as a reality in its own right. We will compose a custom exposition test on Fundamental Concepts of Sociology or then again any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page 3. Talcott Parsons-Society is an absolute complex of human connections to the extent that they develop out of the activity as far as means-cut off association inherent or emblematic. 4. G. H Mead a trade of signals which includes the utilization of images. 5. Morris Ginsberg an assortment of people joined by specific relations or method of conduct which mark them off from other people who don't go into these relations or who contrast from them in conduct. 6. Cole the complex of composed affiliations and foundations with a network. 7. Maclver and Page-society is an arrangement of uses and methods of power and shared guide of numerous groupings and divisions, of controls of human conduct and freedoms. This regularly changing complex framework which is called society is a snare of social relationship Types of Societies Writers have characterized social orders into different classifications Gemeinschaft and Gesellschaft of Tonnies, mechanical and natural solidarities of Durkheim, status and agreement of Maine, and aggressor and modern social orders of Spencer. Every one of these scholars have extensively partitioned society into pre-modern and post-mechanical social orders. Sociologists like Comte put together their arrangement of social orders with respect to scholarly turn of events. The majority of them surrender the transformative idea of society-one sort prompting the other. One all the more method of partitioning social orders is that of Marx. His class ification of society depends on the institutional system of society as dictated by a gathering of individuals who control the methods for creation. Marx recognizes five chief sorts of social orders: crude, Asiatic, antiquated, medieval and entrepreneur. Following these orders, sociologists regularly allude to social orders as crude or present day nonliterate or educated. A later sort of grouping which is likewise utilized while recognizing social orders into types is the one among open and shut social orders. A shut society is the one which is a customary and basic culture or an extremist State will in general oppose change, while an open society concedes change. None of these groupings is precise; for each significant sort have number of sub-types. Family The family shapes the essential unit of soc ial association and it is hard to envision how human culture could work without it. The family has been viewed as an all inclusive social establishment an unavoidable piece of human culture.

Cherokee Indians essays

Cherokee Indians papers Right off the bat in the nineteenth century, while the quickly developing United States ventured into the lower South, white pilgrims confronted what they thought about an impediment. This territory was home to the Cherokee. Discussion concerning treatment of Native Americans in the mid nineteenth century was warmed and once in a while mindful. There were numerous contentions both in favor and against the Cherokee expulsion. These Indian countries, in the perspective on the pilgrims and numerous other white Americans, were disrupting the general flow of progress. Energetic for land to raise cotton, the pioneers compelled the government to procure An indian area. President Andrew Jackson was the principal individual to voice his suppositions about being supportive of the Cherokee Removal. Jackson's mentality toward Native Americans was exceptionally basic, he portrayed them as kids needing direction and accepted the evacuation approach was gainful to the Indians. At the asking of President Andrew Jackson, the Committee on Indian Affairs drafted a bill that would enable the President to arrange the expulsion of every single Native American living east of the Mississippi River to lands west of the Mississippi. Thomas Jefferson had comparative sentiments as Jackson. Thomas Jefferson accepted that a few people were reliant, for example, ladies and Indians, and a few people were free, for example, whites. Jefferson was endeavoring to be kind toward the Indians, however Jefferson was just attempting to secure the land for the United States. A model was fortified in the United States not regarding privileges of power of the Cherokee Indians. Then again, numerous gatherings and people made a solid contention against the Cherokee evacuation. The Cherokee ladies were the first to move toward their boss and warriors about keeping their property. They trusted it was there land for an explanation and there was no chance they should surrender it. There progenitors settled there and God gave this land. In the event that a dad or mother was to sel... <!

Yes, Bookmobiles Are Still A Thing Critical Linking, March 30, 2018

Yes, Bookmobiles Are Still A Thing Critical Linking, March 30, 2018 Critical Linking is sponsored by Tomorrow by Damian Dibben, new from Hanover Square Press. As the Graves County Public Library bookmobile librarian, Hennessee says she serves some of the most isolated areas of her community. She delivers books to some of the loneliest widows and some of the poorest children, but, according to her, “it’s not really about the books.” “I’m a trash taker-outer, I’m a mail-getter, I’m a mechanic, I’m a social worker, I’m a snake killer,” she said. “You do what needs doin.’” Hennessee, 51, started doing this job in 1995, when bookmobiles â€" miniature, mobile libraries in the backs of walk-on vans â€" were in their heyday. At the time, there were nearly 1,000 operating across the United States. Now, there are fewer than 650, according to the most recent data from the Institute of Museum and Library Services, a research arm of the federal government. 650 operating is still a nice number, given how hard budget cuts hit libraries in the last decade. A great piece on the power of the bookmobile.   ____________________ Chilean-American author Isabel Allende began writing her first novel on January 8, 1981. What had started as a letter to her grandfather who was dying eventually transformed into  The House of the Spirits.  Allende now begins all of her books on that same day, January 8 â€" initially out of allegiance with the critical and commercial success of her first book. But now, she says, she does it because she can be in solitude, since everyone knows she is not to be disturbed on that date. The weird habits of authors are weirdly fascinating.   ____________________ To come up with the 15 books below, we limited ourselves to  books  published since 2015, “about” Chicago, by Chicago-based authors. And so by definition, we had to omit gems like 2015’s  Negroland  (Margo Jefferson has lived in New York for decades), Samira Ahmed’s  Love, Hate Other Filters  (Batavia isn’t quite Chicago), Gina Frangello’s  Every Kind of Wanting  (Chicago is present but Caracas and the North Shore are at the forefront), and all the amazing local writers who set their books elsewhere (here’s a  good start). While these poets, novelists, journalists, essayists, historians, and cartoonists don’t share a common aesthetic like the Chicago renaissances of old, their books share a spirit of honesty and imagination. Thanks to these writers (and many more), Chicago is once again becoming the kind of cultural epicenter that once led H. L. Mencken to call it “the literary capital of the United States.” As someone who grew up in Chicagoland, lived in the city, and returned to the area, this literary Renaissance is so great to see and read.   ____________________ Former National Ambassador for Young People’s Literature Gene Luen Yang calls us  all to READ WITHOUT WALLS, exploring books about characters who look  or live differently than you, topics you haven’t discovered, or formats that  you haven’t tried. READING WITHOUT WALLS promotes diversity and opens readers’ eyes  to new ideas and experiences. In this divided time in our nation’s history, READING WITHOUT WALLS is an inclusive way to spread appreciation and  understanding for others â€" and to learn new and exciting things. Take this month-long, awesome reading challenge!   Sign up to Today In Books to receive  daily news and miscellany from the world of books.

Self-Directed Learning Plan Essay - 825 Words

Self-Directed Learning Plan (Essay Sample) Content: Unit 9 assignment - Self-Directed Learning PlanNameInstitutionSelf-Directed Learning PlanNurses should be highly qualified and knowledgeable professionals. Here are some of the most important skills I plan to attain in my learning, as I pursue the advanced family nursing practice as a career. My long-term goal would be able to demonstrate a commitment to family-centered and be able to improve family care for the patient within the context of community. This will help me improve my competence as a nurse. Also, the self-directed plan I will develop will stimulate my ability to assess the patient within the ever-widening system of interactions that will in return assist in shaping my health care delivery practice.During my study time, I expect to attain comprehensive knowledge in some of the most crucial areas in my career. I hope to achieve advanced education practice that will provide skills in leadership in developing, evaluating and implementing means of intervention s. The idea is to improve the highest possible quality of life for, adults, adolescent, children, communities, and families. Second, I look forward to developing evidence-based education that that will oversee my advancement in providing primary care practices for the patients throughout my career work. Third, I expect the course to contribute to my ability to act as a change agent in the health care environment aimed at promoting quality and cost-effective and quality outcomes. Finally, by the end of my learning, I should be able to realize a potential to contribute to the provision of innovative primary care programs. The aim will be to focus on addressing the need of the health care diverse population, particularly those in urban communities.To do this, Ià ¢Ã¢â€š ¬m planning to put focus on advances in technologies used in the field of family nursing. I wish to learn new innovative and different skills as well as processes most applicable in the nursing practice setting. For ins tance, learning the ways to use new electronic documentation system to be able to retrieve test results instantly, as well as performing automated nursing documentation on different levels. In many years, the field of nursing has been using wide forms of technology in caring for the patients. For example, in gathering the necessary data, patient monitoring, information generation and provision of general care. In this module of learning, I will be able to learn all the necessary machinery operations and the principles of their functionality.Also, Ià ¢Ã¢â€š ¬m planning to understand the changes in the practice environment. My primary aim in this area is to comprehend changes that need additional knowledge, skills as well as necessary judgment. The plan is to be able to deliver safe and ethical nursing care, for example, changes in the patient population and nursing care delivery system. Moreover, I wish to understand the additional expectations of all the family nurse that they must maintain through their career.Additionally, it will also be crucial to comprehend the competence in decision-making, quality improvement, and team leadership must become part of every nurse professionalism in the future. This important because, as a family Nurse Practitioner, I will be working independently and collaboratively with other healthcare professional in the provision of continuous health care. This in return will help me become a skilled clinician who will be able to serve as health care, interdisciplinary consultant, an advocator of patients and a researcher. Therefore, I will work proactively to enhance my teamwork skills as a family nurse practitioner. This is because I will be involved in a multidisciplinary team that will encompass the physiotherapists, doctors, pharmacists, dietitians and many others.To a large extent Ià ¢Ã¢â€š ¬m planning to put much emphasis on the inter-professional care to be able to provide comprehensive health care services. This is by worki ng in a collaborative manner to deliver quality care across and within the nursing environment as well as family context.I will be proactively be involved in learning all the necessary tools students need to provide culturally sensitive nursing care focusing on mean of risk reduction an...

Basics of DETC Accreditation for Correspondence Schools

The Distance Education Training Council (DETC) has been accrediting correspondence schools since 1955. Today, hundreds of distance learning colleges and high schools have been granted accreditation from the DETC. Many graduates from DETC accredited schools have used their degrees to gain promotions or to continue in their studies. But, others have been disappointed to find that their degrees do not hold the same weight as diplomas from regionally accredited schools. If youre considering enrolling in a school with DETC accreditation, make sure you get the facts first. Heres what you need to know: The Good – Approved by the CHEA and USDE Both the Council for Higher Education Accreditation and the United States Department of Education recognize the DETC as a legitimate accrediting agency. The DETC has proved itself to have high standards and a thorough review process. You wont find any diploma mills here. The Bad – Trouble Transferring The biggest problem with DETC accreditation is that regionally accredited schools dont view it as their equal. While credits from regionally accredited schools may transfer to other regionally accredited schools easily, credits from DETC accredited schools are often looked upon with suspicion. Even some schools with DETC accreditation view transcripts from regionally accredited schools as superior. The Ugly – A Battle With Regionally Accredited Schools If youre planning on transferring schools or pursuing additional study, be aware that each school has its own transfer policy. Some schools may accept your DETC credits unconditionally. Some may not give you full credit. Some may reject your transcript completely. A study conducted by the DETC showed that, of the students who attempted to transfer credits to a regionally accredited school, two-thirds were accepted and one-third were rejected. The DETC blames the rejected credits in part on anti-competitive business practices in higher education. Whatever the case, be aware that rejection is very possible. A Solution – Plan Ahead If you want to make sure that your transcript from a DETC accredited school will be accepted when you transfer, make a list of potential transfer schools. Call each one and ask for a copy of their transfer policy. Another good strategy is to check out the Higher Education Transfer Alliance database. Schools in this alliance have agreed to be open to schools with any type of accreditation that is approved by the CHEA or USDE – including the Distance Education Training Council.

The Management Of Pressure Ulcers In Elderly Patients - Free Essay Example

Sample details Pages: 8 Words: 2358 Downloads: 4 Date added: 2017/06/26 Category Medicine Essay Type Essay any type Level High school Did you like this example? Pressure ulcers are an injury that damages skin and the layer(s) of tissue beneath, which have been exposed to pressure (NHS, 2014). They can occur in patients of varied ages; however, the most vulnerable age group who are at risk of developing pressure ulcers are patients aged 75 and above (Hope, 2014). Elderly patients tend to have co-morbidities due to the ageing process, which can sometimes leave them with limited mobility or bedridden and this then can put them at further risk of developing pressure ulcers (Jaul, 2010). Don’t waste time! Our writers will create an original "The Management Of Pressure Ulcers In Elderly Patients" essay for you Create order Due to having a growing elderly population, it is extremely important to address the risks of pressure ulcers. There is no particular environment in which pressure ulcers occur, as they are a concern in all settings where social care is being provided, medical treatments are carried out including private homes. This paper will review the evidence regarding the risks and management of pressure ulcers. The focus of this paper will be elderly patients and the following topics will be discussed; risk assessment, patient assessment, pressure recognition and removal, non-surgical treatments/advice, complications of pressure ulcers and surgery. On recognition of a pressure ulcer or the possibility of one developing on a patient, a suitably trained health or medical professional should do a documented risk assessment (NICE, 2014). This risk assessment should cover two interlinking areas, risk factors and signs/symptoms. It is important to assess an elderly patients current health status and not just the status of their health as documented previously on records or on admittance to see a professional, as a variety of factors can affect the development of a pressure ulcer some factors more rapidly than others. Questioning into previous medical history and also looking at previous medical notes is often very informative and usually allows the professional to know of any co-morbidity which could present a further risk or act as an indirect cause of the development of a pressure ulcer. Diabetes and musculoskeletal disorders are often flagged up on assessments as a factor which can impact a pressure ulcer (Benbow, 2012). Sometimes due to the elderly patient suffering from a type of dementia, their ability to communicate or remember life events deteriorates and therefore they cannot provide the professional assessing the ulcer with key medical information. Also, some patients may be in trauma or are not conscious; this, again, makes the information gathering stage of the patients current health status difficult for the assessing professional. In such complex cases, the patients wider network such as relations or the multi-disciplinary team of health and social care professionals who have previously supported the patient may have more knowledge on the patients life history. Nursing home staff are required by the Care Quality Commission to keep records of their residents care plans and more specialist homes have routine logs written about their residents; these often can act as a good indicator of physical, mental and behavioural status and changes which have occurred with the elderly patient (CQC, 2015). Determining any other condition which an elderly patient may suffer from is important, because this needs to be considered in the patients care plan and management of the Pressure ulcer as it could have direct impact on the healing of a pressure ulcer. For example, if the elderly patient has diabetes, their wound healing process maybe prolonged ( Leik, 2013). Furthermore, as elderly individuals have thinner skin; this already puts them at greater risk of skin damage due to pressure. Musculoskeletal disease such as osteoarthritis is usually diagnosed in elderly individuals and it can limit the mobility of the patient or their ability to do specific activities (NHS, 2014). This may result in patients being in the same position for long periods of time, which may then put pressure on that area of the body, putting them at greater risk of developing a pressure ulcer. Also, elderly individuals who are less mobile are more likely to have poor circulation, which can impact on the time taken for a pressure ulcer to heal. Therefore, blood flow should also be taken into consideration when doing the risk assessment. Above are some examples of how the management of Pressure ulcers can become complex; there are more diseases such as terminal diseases and other medical conditions that need to be taken into consideration when planning the care or prevention of a pressure ulcer. Often both the lack of nutritional intake and loss of weight are two interrelated common concerns in elderly patients, unless the cause is due to a different factor such as underlying pathology of disease. Therefore, in addition to including these factors in the risk assessment, health education to encourage the patient to eat needs to be provided to the patient, their relations and health and social care staff supporting the patient. Health advice/education/guidance is important because an underweight elderly individual is more likely to have less tissue around their bones and possibly poorer blood vessel quality, hence making them more at risk of damage from pressure and also poorer healing (MNT, 2014). Also, a lack of protein in an elderly patients diet, which supports tissue growth and repair, can also cause greater damage to their skin from pressure. Low nutritional intake can also cause fatigue and frailty in elderly individuals and t his can impact an elderly individuals engagement and ability to do daily activities (Morelli and Sidani, 2011), hence impacting their psycho-social status, which may disengage them from supporting their own health, whether it be by following the guidance of a medical practitioner or by being active in their healthcare decisions generally (Morelli and Sidani, 2011). This then can make patient centred care difficult for those providing care for the elderly patient, as patient choice/preference is compromised and indication of pain, which is usually expressed verbally via description or recommended pain scales such as Braden or Waterlow, may not also be provided by the patient (Nice, 2014 and Benbow, 2012). Therefore, the patients involvement in managing the pressure ulcer is vital. Pain management is difficult in Pressure ulcer management if the elderly individual has an altered perception of pain due to a spinal cord injury or other related nerve damage injuries. This may prevent the patient from recognizing that they have an ulcer developing, hence delaying the treatment of the ulcer (MNT, 2014). Therefore, it is good practice if the elderly individual is a patient in hospital to routinely ask the patient if they have seen any abnormalities on their skin and also recommend them to change positions regularly. Alongside the detailed risk assessment, a pressure ulcer assessment/skin assessment should be done on recognition of a pressure ulcer developing. This is not only to manage the Pressure ulcer but also to be aware of those individuals who may have difficulty, as mentioned above, in detecting changes in their skin or possibly even possess a disability. Complaints of pain from the patient should be considered in the skin assessment, followed by a categorization of the ulcer as a stage 1,2,3 or 4 Pressure ulcer (NICE, 2014). This will include assessing discolouration, variations in heat, firmness and skin moisture. The categorization of the Pressure ulce r is extremely important because it allows suitable preventative measures to be put within the individuals care planning, to try to maintain the skins integrity and to support healing (NHS, 2014). The overall patient assessment will directly impact decisions on the frequency of positioning for the patient and the suitability of the support surface on which the patient is sitting or lying (Benbow, 2012). These changes are vital to pressure removal and hence, managing the development of the Pressure ulcer better because they will be included in a repositioning timetable that health and social care professionals will work to as part of the care plan. The frequency of positioning varies based on the risk, patients physical ability/state and also their acceptance to be regularly repositioned; for example, a patient in a wheelchair may need to be repositioned every 15 minutes due to the pressure of sitting in the same position for long periods of time. Elderly patients who are bedridde n should be repositioned every couple of hours, depending on the need determined in the risk assessment (NICE, 2014). A physiotherapist can often advise on repositioning that will be safe and that will also allow pressure release. Equipment can also support pressure removal. Cushions on wheelchairs not only provide comfort but they can also lessen the pressure on the hip and upper leg area of the body. However, some specialists advise that air, water or foam filled support devices are better than traditional cushions (Benbow, 2012). Small pillows/foam pads can also support areas of the body from touching each other, such as between the knees or ankles. These can also be used for comfort and support when laying in different angled positions; for example, when a patient is lying on their side, their legs may need further support (Benbow, 2012). Reclining chairs/automated chairs can also be set at different positions to support pressure removal. Patients, relatives and supporting profe ssionals need to ensure that the skin of the patient is regularly checked, as repositioning regularly can also cause skin damage due to the skin of an elderly individual being thinner. Specialised mattresses can also reduce pressure in comparison to standard mattresses. Furthermore, some specialist mattresses can be connected to an air flow system which can automatically regulate the pressure, hence making the care and management of pressure ulcers in bedridden patients easier for health professionals or carers/relatives. This may be a change that medical/health professionals recommend to elderly patients at home or even for patients in long term care/rehabilitation; however, research is still lacking on how much contribution mattress change actually has on directly lessening the risk of pressure ulcer development (Vanderwee et al, 2008 and UCSF, 2011) in comparison to other cost effective changes. Depending on the wound of the ulcer and the skin damage, often dressings and oi ntments are used to manage the pressure ulcer and to manage infection. Antibiotics may be prescribed, but not often, as usually antiseptic creams can be applied directly on the wound to prevent the spread of infection to connecting tissues. Ointments and creams may also be used to prevent or treat skin damage such as incontinence-associated dermatitis. The skin assessment should be able to identify those at risk of developing such dermatitis, as these patients often have one or more of the following conditions: incontinence, oedema or dry skin (NICE, 2014). Dressings which have been specially designed to promote wound healing and cell regrowth should be used on a pressure ulcer wound. Examples of suitable dressings include hydrocolloid dressings and aliginate dressings (NHS, 2014). These dressings also can support the regulation of skin moisture, which is important to manage the Pressure ulcer. Research and development into wound repair technology is advancing and specially designed dressings give less trauma to the patient upon removal. Therefore, the correct dressing is vital as unsuitable dressings may cause further skin breakdown. As briefly mentioned earlier in this paper, the patients diet may need altering to ensure that the elderly patient is taking nutrients which will support wound healing. Hydration is also important to maintain skin moisture and avoid flaky skin (Convatec, 2012). Hydrotherapy can also be used to keep skin clean, with possible natural removal of dead cells. In some cases, the wound healing process may be compromised due to necrotic tissue and this dead tissue will need to be removed via a debridement method. Debridement methods vary depending on the clinical situation. Larvae therapy can be used as an alternative method to debridement; this therapy consists of putting maggots on the wound for a few days via a dressing and gauze. Maggots can also promote healing due to the release of a substance that kills bacteria. Sometimes when grade 3 or 4 Pressure Ulcer wounds do not heal or they become complicated cases, surgery is needed. This is usually either surgery which directly closes the wound or flap reconstruction. To conclude, this paper has attempted to cover the overall management of pressure ulcers in elderly patients. Despite, the treatments and clinical practice carried out by medical/health professionals being similar to younger patients, the risks of pressure ulcer development and healing due to the ageing process are different. Also, co-morbidity is more identifiable in elderly patients and skin structure/composition differs due to the thinning of the skin. There are clear guidelines on managing pressure ulcers by NICE; however, further research needs to be done to optimize the management of pressure ulcers in elderly patients (Cullum, 2013). Bibliography Benbow, M. (2012) Management of Pressure ulcers. [Online] Available from: https://www.nursinginpractice.com/article/management-pressure-ulcers Care Quality Commission. (2015) Regulation 17 à ¢Ã¢â€š ¬Ã¢â‚¬Å" good governance. [Online] Available from: https://www.cqc.org.uk/content/regulation-17-good-governance Convatec. (2012) The Role of Modern Wound Dressings in Stage I Pressure Ulcers and Patients at Risk of Pressure Ulcer Formation. [Online] Available from: https://www.convatec.co.uk/media/9572137/aquacel-foam-dressing-shown-to-protect-against-ski-11546.pdf Cullum, N. (2013) Study reveals pressure ulcer research uncertainties. [Online] Available from: https://www.manchester.ac.uk/discover/news/article/?id=10016 Jaul, E. (2010) Assessment and management of pressure ulcers in the elderly: current strategies. Journal of Drugs and Aging. 27 (4). p. 311-325. Leik, M.T.C. (2013) Adult-Gerontology Nurse Practitioner Certification Intensive Review: Fast Facts and Practice Questions. 2nd ed. Springer Publishing Company: New York. Medical News Today. (2014) What are bedsores (pressure ulcers)? What causes bed sores? [Online] Available from: https://www.medicalnewstoday.com/articles/173972.php Morelli, V and Sidani, M. (2011) Fatigue and Chronic Fatigue in the Elderly: Definitions, Diagnoses, and treatments. Clinics in Geriatric Medicine. 27 (4). p. 673 à ¢Ã¢â€š ¬Ã¢â‚¬Å" 686. National Health Institute. (2014) Osteoarthritis. [Online] Available from: https://www.nhs.uk/Conditions/osteoarthritis/Pages/Introduction.aspx National Health Service. (2014) Pressure ulcers à ¢Ã¢â€š ¬Ã¢â‚¬Å" Treatment. [Online] Available from: https://www.nhs.uk/Conditions/Pressure-ulcers/Pages/Treatment.aspx National Institute for Health and Care Excellence. (2014) Pressure ulcers: prevention and management of pressure ulcers. [Online] Available from: https://www.nice.org.uk/guidance/cg179/resources/guidance-pressure-ulcers-prevention-and-management-of-pressure -ulcers-pdf University of California at San Francisco. (2011) A critical analysis of Patient Safety Practices à ¢Ã¢â€š ¬Ã¢â‚¬Å" evidence report no.43. [Online] Available from: https://archive.ahrq.gov/clinic/ptsafety Vanderwee, K, Grypdonck, M, Defloor, T. (2008) Alternating pressure air mattresses as prevention for pressure ulcers: A literature review. International Journal of Nursing Studies. 45 (5). p. 784-801

The Effects Of Charging Juveniles Of Adults - 1689 Words

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This paper will discuss the history of charging juveniles of adults, discuss the issues that make this practice wrong while negating opposing arguments, and explain the various consequences that come with charging juvenile offenders as adults. When the United States was first established as an independent country, there was no such thing as â€Å"family court† or even the juvenile justice system. Therefore everybody was charged and treated as adults if a crime were committed, and juvenile offenders were always sent to adultShow MoreRelatedJuvenile Crimes And Crime Rates1478 Words   |  6 Pagesshort and relaxed sentences. Who are these criminals you might ask, and what makes them so special? Good morning___ and welcome to _____. So I will tell you who they are, they are people like you and me, juveniles under the age of 18 who commit atrocious adult crimes but are still tried in juvenile courts. 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Hard Rock Operations Management and Productivity of the Staff

OPM300-INTRO TO OPERATIONS MANAGEMENT The Hard Rock Cafà © (HRC) has become such a successful business due to the business aspect being adequately managed operationally. Since the first HRC opened in 1971, the household name has continued to expand and succeed. How has a small pub that originated in London, England become one of the most successful enterprises around the world? Hard Rock has over 166 venues in more than 52 countries around the world, including 133 cafes and 14 Hotels/Casinos. The purpose of this paper is to discuss how the ten decisions of operations management is applied at HRC and how the productivity of the kitchen and wait staff is determined. Service and product design: Hard Rock Cafà © started with a†¦show more content†¦Supply chain management: Managing supplies is a challenge in itself. A lot of the restaurant industry is outsourcing to get most of their supplies from vendors as its cost efficient. Most of the memorabilia and souvenirs come from vendors to maximize inventories an d stock while minimizing cost. The available inventory of items and supplies is dictated by the number of sales. HRC uses various formulas to compute what portions or items are to be available by calculating sales on a daily, monthly and annual basis. Inventory management: Inventory management is primarily specifying the amount and the usage of goods. Management of supplies is essential to protect the normal course of consumption and production against unexpected disturbances such as running out of materials. Inventory management is also the process of forecasting inventory, future inventory cost, and available space for goods and on demand replacement of goods. Balancing these areas of requirements enhances and ensures optimal inventory levels of productivity. Scheduling: Employee scheduling is an essential part of the everyday business process. 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Mathematics and Moreno Valley Free Essays

In all honesty, I don’t like school much. My favorite class so far this year has to be either French or ACT. A few Of my academic strengths are that I’m a great listener, I don’t like to waste time when I could be getting work done, and I check my work a lot to make sure it is correct or near correct. We will write a custom essay sample on Mathematics and Moreno Valley or any similar topic only for you Order Now My academic weaknesses are that I won’t ask questions if need help and most of the time the topics don’t interest me. I like figuring problems out on my own because I learn better that way, but it can be a bad thing if I really don’t understand the problem at all. In those cases, I don’t know where to start fixing my problem. I like math because most of the time the answers are straight forward. I don’t like having to explain myself. Dislike how long it takes to actually solve a problem and I also dislike how long math work can be. My most favorite math experience probably had to be Geometry last year. I understood it well and I was really good at it. To add to that, it was my favorite because hardly ever had to study. Usually retained the information and my teacher taught the lessons well. I haven’t had a math class dislike yet. Usually get an A in y math classes because I try to complete all of my work and tests with high grades or points. Before this school year, would spend thirty minutes Max to finish my math homework. This school year I’ve been spending 1-2 hours on math homework each night. In this class I expect to learn and understand algebra 2 well and earn a high grade. I plan to achieve this by completing all of my work and studying for the tests. Also, I’ll try not to fall behind on any work that is due. To achieve my goals of understanding Algebra 2, it would help if you slowed down and explained more during notes. I’d also appreciate reminders of test dates. How to cite Mathematics and Moreno Valley, Papers

Shylock Victim or Villian Essay Example For Students

Shylock Victim or Villian Essay January 21, 1994 Shylock-Victim or VillainIn 1594 the Earl of Essex, an English Nobleman who lived during the Elizabethan period in England, was actively involved in the persecution and trials of Roderigo Lopez. Lopez was a Jew of Portuguese descent, who was wrongly accused of attempting to poison the Queen of England, for reasons never fully explained. Lopez, being the Queens royal physician, was in no position to defend himself once he was accused. Essex, who provided the evidence also presided over the trial of Lopez, leaving Lopez little chance of survival. The innocent Jew was hanged, drawn, and quartered in Tyburn, England for all to witness. The story of Roderigo Lopez is similar to the story of Shylock, although, Palmer tells us It is not suggested that Shakespeare in portraying Shylock, had any political or social intentions ( 112-13). Both Jews were placed in time where anti-Semitism was in fashion (Palmer 113), and both thrown into court where they would be tried unjustly. The story of Roderigo Lopez sets the tone for The Merchant of Venice. Lopez incident occurred in 1594, The Merchant of Venice was written only two years later. Anti-Semitism was prevalent during Shakespeares time, and therefore we must understand that it was as easy for him to make a Jewish man the villain as it would be for us to make a Nazi the villain. According to Sylvan Barnet The Merchant of Venice shows the broad outline of a comedy (not merely a play with jests, but a play that ends happily). . . the villain in the comedy must be entirely villainous, or, rather, comically villainous; he cannot for a moment gain the audiences sympathy (1). Shylock has often been portrayed as the villain in The Merchant of Venice. From being more concerned with his ducats rather than his daughter, to demanding his pound of flesh, Shylock fits perfectly into the mold of the villain. However, with reference to Barnets comment he cannot for a moment gain the audiences sympathy (1), Shylock overs teps the boundaries of his villainous character. The audience cannot and would not have rooted for Shylock during Shakespeares lifetime, yet, now we do. Shylock is merely a victim of anti-Semitism. Although victorious in his bond, Shylock was raped of his lands, his faith and his pride. Shylock not the necessarily the villain, rather the victim. Shakespeare takes his time before introducing Shylock, however, when he does, he shows us a decent businessman. Bassanio May you stead me? Will you pleasure me?Shall I know your answer?Shylock Three thousand ducats for three monthsand Antonio bound. Bassanio Your answer to that. Shylock Antonio is a good man. Bassanio Have you heard any imputation to the contrary?Shylock Ho no, no, no, nomy meaning in sayinghe is a good man, is to have you understand me that heis sufficient. Yet his means are in supposition : he hathan argosy bound to Tripolis, another to the Indies;I understand moreover upon the Rialto he hath a thirdat Mexico, a fourth for England, and other ventures he hath squandered abroad. But ships are but boards,sailors but menthere be land-rats and water-rats,land-thieves and water-thievesI mean pirates-and then there is peril of waters, winds, and rocks. Theman is, notwithstanding, sufficient. Three thousand ducatsI think I may take his bond (I. iii. 7-26.). Through this entire exchange Shylock says that Antonio is financially fit. Shylock knows that Antonio is good for the three thousand ducats. Then, as any good businessman would do, he considers how Antonio, a merchant, has all of his ships at sea. He talks of the dangers of sea and how Antonio may not get all of his ships back, if so, he will not have the money. It is here that we begin to get a glimpse of Shylocks evilness. The man is, not withstanding, sufficient. Three thousand ducatsI think I may take his bond (I. i. 25-26.). Shylock realizes his opportunity, he can profit from this venture. Shakespeare begins to create his villain, we have no choice but to hate this man.Shakespeare continues to build his villain by giving Shylock an aside in which he reveals his hatred for Antonio, because he is a Christian and he lends money

One Day free essay sample

â€Å"Are you sitting down? Sit down. Linda’s had a brain aneurism rupture. She probably won’t live through the night, but if she does, she will be in surgery tomorrow morning.† This is the short call we got from my mother’s other sister right before we rushed out the door to make the trip to Rockford, IL. It was the longest drive of my life, the whole time just watching the small clear blue tears stream down my mother’s face. No one could believe what was happening. My aunt had always lived a healthy life. To have an aneurism rupture leaving her significantly, physically, and mentally impaired at forty-five was not what anyone was expecting. My Aunt Linda is the most amazing woman I know. She went from having it all to having almost nothing. When thrown into the worst imaginable situation, she did not give up. She kept a positive attitude and was able to regain a bit of the control over her life that she had lost. We will write a custom essay sample on One Day or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She used to get up every day, make some hot and steamy coffee and breakfast for herself, husband, and son and head off to work. Now she can’t even move; let alone get herself out of bed, change her clothes, or even eat food. Her life is completely different. Now about the only things she can do are play games and watch movies. When it comes to games, she can only play two; dominos being her favorite. As you can imagine, I’ve now spent countless hours playing the one game I never liked myself, all just to that grin appear on her face and see how happy she gets every time she wins. That grin of hers inspires me every day when I feel like nothing’s going the way I want it to. I just think how grateful I am to be able to walk and enjoy the beautiful scenery that surrounds me or communicate with the people that mean everything to me. Everyday we make sure that she gets out on a walk. Now, to be taken on hour long walks up and down different streets through the town is the highlight of her day. She loves getting out in the sunshine and waving to all people in sight. Although all most people do is stare at her because she is different, she doesn’t let it get to her. It’s taken me a lot to get used to people being rude and just staring. She’s helped me grow as a person and not care what people think. She enjoys life; every bit of it. Someday I want to be half as happy as she is now, even with all her disabilities.

Free Essays on Eva

Situational Analysis and Key Facts Mr. John Duckworth is the president and controlling shareholder of Duckworth Industries. In 1992 he decided that a change was needed in Duckworth’s management incentive program. The new plan would benefit both shareholders and managers and would also keep Duckworth at the forefront of incentive programs. He is a deep believer in incentives to motivate employees. In 1950’s he took over a plant that had an operating loss of $2.7 million a year and implemented what was at the time a â€Å"state of the art† incentives program. When he started his own business in 1971 sales grew from $400,000 to nearly $125 million by 1992. He has since acquired many other companies and now has 775 employees. Mr. Duckworth has six different incentive programs. These programs not only benefit upper level management, but also plant level employees with the attendance bonus. The idea of pay for performance is a key in the Duckworth family. One senior executive said that â€Å"we put incentives, within reason, behind everything we can.† To compliment the attendance bonus there is also a quality incentive for plant and shift supervisory levels, while all employees benefit from the profit-sharing plan. Employees receive separate checks for incentives so they can see every month how performance benefits them. The senior management team had other incentives above and beyond the incentives of all the other employees. Senior managers had an annual incentive compensation program and a long-term incentive program. Both of these plans took on dramatic changes from 1983-1992. Before 1990, the annual incentive program provided managers a bonus of up to 50% if they if certain target levels of performance were reached. These measures included things such as cash flow, sales growth, inventory turns, etc. In 1990, however, Duckworth decided to base the incentives on sales growth and profitability rather that annual targets. The i... Free Essays on Eva Free Essays on Eva Situational Analysis and Key Facts Mr. John Duckworth is the president and controlling shareholder of Duckworth Industries. In 1992 he decided that a change was needed in Duckworth’s management incentive program. The new plan would benefit both shareholders and managers and would also keep Duckworth at the forefront of incentive programs. He is a deep believer in incentives to motivate employees. In 1950’s he took over a plant that had an operating loss of $2.7 million a year and implemented what was at the time a â€Å"state of the art† incentives program. When he started his own business in 1971 sales grew from $400,000 to nearly $125 million by 1992. He has since acquired many other companies and now has 775 employees. Mr. Duckworth has six different incentive programs. These programs not only benefit upper level management, but also plant level employees with the attendance bonus. The idea of pay for performance is a key in the Duckworth family. One senior executive said that â€Å"we put incentives, within reason, behind everything we can.† To compliment the attendance bonus there is also a quality incentive for plant and shift supervisory levels, while all employees benefit from the profit-sharing plan. Employees receive separate checks for incentives so they can see every month how performance benefits them. The senior management team had other incentives above and beyond the incentives of all the other employees. Senior managers had an annual incentive compensation program and a long-term incentive program. Both of these plans took on dramatic changes from 1983-1992. Before 1990, the annual incentive program provided managers a bonus of up to 50% if they if certain target levels of performance were reached. These measures included things such as cash flow, sales growth, inventory turns, etc. In 1990, however, Duckworth decided to base the incentives on sales growth and profitability rather that annual targets. The i...

How to Dress for Work When Your Job Has No Dress Code

How to Dress for Work When Your Job Has No Dress Code While some jobs have uniforms or very strict attire requirements, most jobs these days rely on unspoken adherence to a professional-but-casual look. Not sure you know it when you saw it (or wore it)? Here are four strategies to breaking the business casual code.Ask!Do this at the final interview- once you’ve begun the hiring process and aren’t as nervous to ask questions. Asking a lot better than not asking and coming to work on your first day looking like a fish out of water. Inquire in a casual manner and you should be golden. If you’ve met the team, you already have a few good clues there. If you haven’t, try and do so before your first day- if for no other reason than to scout out what they’re wearing.Look to your bossIf your boss comes in every day in jeans and T-shirts, you’ll probably look like a chump if you come in wearing a suit. Conversely, if your boss turns out to the nines, you probably don’t want to venture lower than a collared shirt at the very least. Don’t out-dress your boss, but do keep in the realm of her typical attire.  Go for comfortThis doesn’t mean fat pants and a hoodie. It just means that you can’t possibly do your best work if you feel like an alien in your clothes. Try to find a balance between dressing to impress and not playing dress-up. There’s so much variety these days in dress codes that this shouldn’t be an issue in most fields.Take the temperatureThe culture of the office will tell you a lot. Try and read the environment you’re in; based on the qualities the company emphasizes, it shouldn’t be hard to determine what sort of dress they will expect. You could end up making everybody else uncomfortable if you veer too casual or too formal from the workplace vibe.What Do You Wear to Work When Your Job Has No Dress Code?

The Values of Women Essay Example | Topics and Well Written Essays - 750 words

The Values of Women - Essay Example Her roles will involve ensuring that the health of her children is good at all times. It is necessary to take the children to doctors as well as dentists in good time. In general, she is supposed to keep all the appointments made by doctors as a way of ensuring that her children are safe and healthy at all times (Brady, 775). The responsibility of a wife in a family or marriage should not only involve taking her children for checkups, but she also needs to ensure that the children develop well in all aspects of their life. Their duty should therefore be to ensure that the children have a social life that is achievable by taking her children to the parks or zoos (Brady 775). A woman or a wife is not supposed to complain about her roles in the family. A woman is supposed to be both understanding and supportive to her husband. This is evident in the statement, â€Å"But I want a wife who will listen to me† (Brady 776). Apart from ensuring that children have a social life, a wife is also supposed to pay attention to the social needs of her husband. She ought to clean the house in readiness for her husband’s guests whenever he invites his friends over for either dinner or any form of entertainment. Her role in entertaining her husband’s guests should be replenishing the wine glasses, making sure there are ashtrays and serving the guests with food (Brady 776). Another area where a woman’s role is essential is in the satisfaction of her husband’s sexual needs (Brady, 776). In the essay, a man has been portrayed as a powerful creature with full control over women. For example, he has the freedom to change wives whenever he feels like (Brady, 776). In summary, any woman who performs all the roles listed above is termed as a good wife who is desirable by all men. The essay Sex, Lies and Conversation by Deborah Tannen, people learn that men talk more in public and less at home. This observation was illustrated when Deborah addressed a gr oup of men and women at suburban Virginia. She noted that during the discussion, one man was so talkative as compared to his wife who was silent most of the time. According to Deborah in Sex, Lies, and Conversation, she says that most women find conversation as an important element in the growth of friendship. From the analogy of girl’s intimacy to thread, it is clear that friendship in girls is boosted largely through the exchange of secrets (Deborah 1). As a result, women do expect men to have more values and qualities as compared to their best friends. According to the Stanford University reports published in the April issue, Eleanor Maccoby pointed out that the social structure influences the development of children and defines the level of interaction with their peers (Deborah 1). The degree of interaction in children, as highlighted by Deborah is usually similar to that displayed in adults. Despite the fact that bond among boys can be as strong as that experienced in gi rls, boys usually talk less, but act more as compared to girls. This is because most men do not believe that talk is essential in building friendships (Deborah 1). Most women complain that men do not listen during conversations. The reason behind the complaints as stated by Deborah is that most groups of boys are usually large. A significant proportion of these boys engage in continuous

Social Sciences And Race Essay Example | Topics and Well Written Essays - 2000 words

Social Sciences And Race - Essay Example Race was invented in the eighteenth century by anthropologists who were then referred to as â€Å"radiologists† to claim the superiority or inferiority of different races. Races are usually identified by skin color, hair texture; among other physical features possessed by different people (Reich, 1972). It is insufficient to use just one characteristic to explain race. It is usually a combination of two or three of these characteristics. Conventionally, there are five human races, including mongoloid- the Asian and American Indian, Caucasoid- European, Negroid- East African black, Australoid-Australian and Oceanic and Capoid- South African black. A mixture or races are referred to as â€Å"mongrels†. This theory has been rejected over time since there is almost a hundred percent similarity in genetic composition among all the races. This classification has, however, been accepted as a standard over time. The above theory of race has been used to promote racial profile and racism. The Caucasoid race is predominantly from Northern Europe and is characterized as tall, light skin(white), light colored eyes, thin lips and narrow noses. Their hair is straight or wavy and is usually blond. Mongoloids are said to have straight black hair, yellow skin, thin lips and almond eyes. Their faces are broad and flat. Negroid`s skin color varies from brown to black. They have kinky hair, brown or black eyes, broad noses, thick lips and they are mostly the Africans. Australoids are similar to Negroids, but their hair is a little different.

Treatment for Hypothyroidism

Treatment for Hypothyroidism Levothyroxine sodium is a synthetic thyroxine (T4) hormone, and is the mainstay of treatment for hypothyroidism and the suppression of thyroid stimulating hormone (TSH) in patients with thyroid cancer or after thyroidectomy.1 Two main properties of levothyroxine have contributed to a turbulent regulatory history. First, levothyroxine targets a narrow therapeutic range of T4 hormone and requires careful titration to a safe and effective dose.2 Second, levothyroxine is relatively unstable and its degradation is accelerated in response to environmental factors and in the presence of some inert product ingredients.3,4 Between 1991 and 1997 there were at least 10 recalls of different levothyroxine products mostly due to sub-potency or uncertain potency, comprising 150 lots and 100 million tablets.5 Although major regulatory changes were implemented to improve the quality and safety of levothyroxine products in 1997 and again in 2007,5-7 concerns persist about bioequivalence and variation in product potency.8 In a previous study of generic drug use from a nationally representative sample of commercial claims data in late 2013, we found that generic utilization of thyroid agents, mostly comprising levothyroxine, was 61%,9 despite the availability of generic preparations for >10 years. This utilization rate is markedly low given that overall generic uptake is approaching 90% in U.S.10 To encourage use of generic levothyroxine, more information is needed about the healthcare provider and patient barriers to uptake of generic preparations. We used a large electronic health records (EHR) database from a healthcare delivery system to evaluate measurable determinants of, and unexplained variation in, outpatient generic prescribing of levothyroxine. We hypothesized that both patient and provider factors contribute to generic levothyroxine prescribing and that residual variation in providers generic prescribing would persist after accounting for measurable factors. METHODS Race and ethnicity were captured by self-report during routine clinical practice in accordance with U.S. Census standards.13 We identified TSH laboratory results for each patient in the 12 months prior to the index prescription. In the case of multiple measurements, we chose the one closest to (but not after) the date that the index prescription was ordered. We also extracted information on other patient characteristics, including use of concomitant medications, insurance type, and clinical diagnoses. Insurance type was categorized as fee-for-service or preferred provider organization (FFS/PPO), health maintenance organization (HMO; including Medicare Advantage), Medicare, Medicaid, and unknown (including self-pay). For each patient, we calculated a Charlson Comorbidity Index (CCI) score based International Classification of Disease-9 encounter and problem-list diagnoses documented in the 12 months prior to the index prescription.14 We used 2010 U.S. Census block information to deter mine the median householdincome of the Census track in which patients reside as a proxy for socioeconomic status. We used information from the EHR database to characterize the index levothyroxine prescription. We classified the encounter at which the index prescription was ordered as an office or online/telephone encounter. The index prescription was classified as incident if there were no active prescriptions or pharmacy claims for this drug in the 12 months prior; otherwise it was classified as a renewal. For each patient, we quantified the duration of index prescription (recorded start date to the imputed end date, as determined by the prescribed daily dose, quantity dispensed, and number of refills). We quantified healthcare providers prescribing volume of levothyroxine by calculating the average number of levothyroxine prescriptions written per week in the three months prior to the index prescription for each patient. We also quantified healthcare providers total patient volume by calculating the average number of office encounters per week in the three months prior to the index prescription per patient. Statistical Methods We used mixed-effects multivariable logistic regression models to assess the relationship between generic prescribing of levothyroxine (dependent variable) and patient and prescription factors (level-1 predictor variables), and healthcare provider factors (level-2 predictor variables) (see Table 1). We assumed that patients with prescriptions from the same healthcare provider were more alike in their propensity to receive a generic than patients from different providers. Accordingly, we included random-effects (i.e., random intercepts) in our models for each prescribing healthcare provider of the index levothyroxine prescription (N=941). To quantify between-cluster variation, we calculated the intra-class correlation coefficient (ICC) in the absence of covariates (variance-components model) and in the presence of patient, prescription, and provider fixed-effect covariates (mixed-effects multivariable models). These models were also fitted separately by provider type (PCP and endocrin ologist). Odds ratios (OR) and 95% confidence intervals (CIs) were calculated for fixed-effect covariates. We derived predicted probabilities of receiving generic levothyroxine for each fixed-effect covariate from post-hoc estimation of adjusted means, holding all other variables constant.15 We included interaction terms in the mixed-effects multivariable model to examine effect modification by provider type for patient age, sex, race/ethnicity. When interactions were present, we calculated predicted probabilities of receiving generic levothyroxine for the covariate of interest stratified by provider type. Due to multiple comparisons within models, a P-value 220 days vs. 74% for prescriptions à ¢Ã¢â‚¬ °Ã‚ ¤60 days). Patients and providers may have been more accepting of generic levothyroxine when it would be taken for longer periods of time, reflecting lower cumulative out-of-pocket drug cost. The predicted probability of receiving generic levothyroxine was also higher for renewals than incident prescriptions (83 vs. 73%) and for online/telephone encounters versus office encounters (81% vs. 72%). These factors are related, as patients with a renewal more frequently receive levothyroxine during an online/telephone encounter than those with an incident prescription, yet they remained independent predictors of generic prescribing in the multivariable model. Among patients with a renewal, 84% received generic levothyroxine prior to the index prescription and, of those, the vast majority (92%) received a renewal for generic levothyroxine. It follows that patients were less likely to have been prescribed brand levothyroxine if they were already taking a generic. In a study of 36,832 older adults (à ¢Ã¢â‚¬ °Ã‚ ¥65 years) in the U.S. initiating narrow therapeutic index drugs, of which warfarin (48%) and levothyroxine (29%) were the most prevalent, predictors of higher generic drug initiation, included older age, male sex, higher comorbidity, lower Census block median household income, and prior generic utilization. These findings from a Medicare population are overall consistent with our results.23 In our study, bivariate analyses showed that HMO and Medicare beneficiaries were more likely to receive generic levothyroxine; however, this association was mitigated in the presence of other factors in multivariable analyses. We found that provider type was an effect modifier for the relationship between patient sex and generic prescribing of levothyroxine in multivariable models. In stratified analyses, while the predicted probability of receiving generic levothyroxine from a PCP was similar among women and men (81%, each), the probability of receiving a generic from an endocrinologist was disproportionately lower for women (63% vs. 71% for men). Because lower prescribing of generic levothyroxine was observed for endocrinologists but not PCPs, this occurrence is likely driven by provider rather than patient preferences. Future studies are warranted to understand these prescribing practices among endocrinologists. The results of this study should be interpreted in the context of several limitations. The retrospective, observational nature of this study prevents causal inferences. Furthermore, rates of generic prescribing of levothyroxine may overestimate generic utilization of this drug, as some patients may not consent to generic substitution at the pharmacy. Although California has a permissive generic substitution law, patients can still refuse a substitution. In the absence of pharmacy claims, we cannot know whether a generic or branded product was actually dispensed. Nevertheless, in a previous study we showed that our algorithm used to determine brand versus generic prescribing measured by EHR data performs well in predicting actual dispensing patterns.12 Thestudy setting is a healthcare delivery system in Northern California, and we cannot know if our findings are generalizable to other parts of the U.S.; however, the organization is a mixed-payer system, and operates much like other pr ovider-based delivery systems in the nation, without a single drug formulary. As such, we are confident that our findings are relevant to other similar health systems in the U.S. This study has several strengths. We used a relative large cohort of patients from a mixed-payer healthcare delivery system over a four-year period to examine patterns in and determinants of generic prescribing of levothyroxine. We leveraged extensive information from the health systems EHR database, including disease and medication history, TSH levels, and providers levothyroxine prescribing and patient volume. To our knowledge, this is the first study to quantify variation in generic prescribing of levothyroxine between healthcare providers. The presence of residual variation between providers in generic prescribing of levothyroxine, after controlling for important measurable confounders, indicates potential unwarranted variation due to prescribing preferences. Such variation, which may also be influenced by patient beliefs and preferences, can be the target of provider interventions or patient education aimed at improving levothyroxine generic uptake.

The Union of American Federation of Labor

Early american workers dealt with many problems. These problems ranged from child labor to unemployment. The workers also tried to set up groups, called unions, that they could call their own. The owners of the companies they worked for could not give the workers what they deserved because of their unions. Many unions also helped shape our modern US history by helping the people come together as a whole. One such union was the American Federation of Labor (A. F. of L. ). The unions of the A. F. of L. laced great emphasis on written collective agreements, including the closed shop, in which only union members are permitted to work. The A. F. of L. unions also insisted that members pay relatively high dues, and many of them established insurance and strike benefits. They became known to be job consciousness rather than class consciousness. The start of the A. F. of L. started with the beliefs of one man. That man was Samuel Gompers. He believed in organizing skilled workers ofd the same craft, build unions of plumbers, or carpenters, or cigar makers. By establishing these unions, a labor movement started to unfold. He split the American unions from the class struggle, and made it a partner to the US and not an enemy as people thought unions were. Gompers made unions respectable to the people. Child Labor The A. F. of L. was a pioneer in restricting child labor. The A. F. of L. would have a law passed by the Congress but the Supreme court would say Congress over stepped its powers. Even though this slowed the progress of child labor laws, it did not stop Gompers from trying to start the laws. The A. F. of L. held a conference in 1922 in which any union who wished to see the abolition of child labor was invited. The council worked for the restriction of child labor by writing an amendment that did not get enough votes to pass. It was not until the 1930†³s that some forms of restriction come about. Unemployment The depression in the 1930†³s gave way to massive unemployment. In 1929, 3. 2% of the workers could not find work. In 1933, it rose to over 24. 9% of the workers not being able to find work. The A. F. of L. ecognized the problem of unemployment even before it became a problem in the 1930†³s. The A. F. of L. had a plan for meeting unemployment: (1) establishment of a national employment service by Congress; (2) census of unemployment to be included in the census to be taken in 1930; and (3) regularization of employment by management to provide stable work. The plan also represented the following program as a means for relieving unemployment: (1) shorter work hours to be introduced in industry, with the five days week and vacations with pay; (2) stabilization of employment. With the effort of the A. F. of L. , unemployment was greatly reduced, but not completely and jobs for workers became easier to attain and keep. Education The A. F. of L. has always supported the education of children and the free public school. They liked the idea of â€Å"enactments that will enforce the education of children. † They supported free textbooks to the school children and the establishment of part time classes for the education of minors who were employed. Federal aid to the A. F of L. eant four items: (1) able to pay the teachers; (2) aid to protect the health of the student; (3) scholarships to help those in need to further education; and (4) support in a school building program. Extra funds would be distributed based on need. In 1920, the Workers† Education Bureau was established with the help of the A. F. of L. The bureau was to promote and assist educational work done by the unions. The bureau became an important and very functional part of the A. F. of L. Merger of AFL and CIO The A. F. of L. and the C. I. O (another strong union) saw that unions would be better able to serve their members and the community if a labor unity was reached. Talks soon started with the help of President Roosevelt but were soon halted by both sides in 1939. Talks did not resume until 1942 where an agreement was negotiated. The agreement was signed by three members of both unions who were put in charge of the agreement. But the major leaders of both unions accused the other of raiding They said that talks could not go farther until they agreed that neither side would raid and the war was over. Year after year, very little progress was made, but enough to keep the talks going. Serious negotiations were not made until 1947. Closer cooperation between both groups slowly began with the help of local groups affiliated with the two unions. In 1954, both sides agreed to the no-raiding policy. The new A. F. L-C. I. O spent time examining their differences standing in the way of finalizing their unity. In 1955, all differences were sorted out and on February 9, the Merger Agreement was signed. On this day, the American Federation of Labor finished its seventy-five years of existence. The Union of American Federation of Labor Early american workers dealt with many problems. These problems ranged from child labor to unemployment. The workers also tried to set up groups, called unions, that they could call their own. The owners of the companies they worked for could not give the workers what they deserved because of their unions. Many unions also helped shape our modern US history by helping the people come together as a whole. One such union was the American Federation of Labor (A. F. of L. ). The unions of the A. F. of L. laced great emphasis on written collective agreements, including the closed shop, in which only union members are permitted to work. The A. F. of L. unions also insisted that members pay relatively high dues, and many of them established insurance and strike benefits. They became known to be job consciousness rather than class consciousness. The start of the A. F. of L. started with the beliefs of one man. That man was Samuel Gompers. He believed in organizing skilled workers ofd the same craft, build unions of plumbers, or carpenters, or cigar makers. By establishing these unions, a labor movement started to unfold. He split the American unions from the class struggle, and made it a partner to the US and not an enemy as people thought unions were. Gompers made unions respectable to the people. Child Labor The A. F. of L. was a pioneer in restricting child labor. The A. F. of L. would have a law passed by the Congress but the Supreme court would say Congress over stepped its powers. Even though this slowed the progress of child labor laws, it did not stop Gompers from trying to start the laws. The A. F. of L. held a conference in 1922 in which any union who wished to see the abolition of child labor was invited. The council worked for the restriction of child labor by writing an amendment that did not get enough votes to pass. It was not until the 1930†³s that some forms of restriction come about. Unemployment The depression in the 1930†³s gave way to massive unemployment. In 1929, 3. 2% of the workers could not find work. In 1933, it rose to over 24. 9% of the workers not being able to find work. The A. F. of L. ecognized the problem of unemployment even before it became a problem in the 1930†³s. The A. F. of L. had a plan for meeting unemployment: (1) establishment of a national employment service by Congress; (2) census of unemployment to be included in the census to be taken in 1930; and (3) regularization of employment by management to provide stable work. The plan also represented the following program as a means for relieving unemployment: (1) shorter work hours to be introduced in industry, with the five days week and vacations with pay; (2) stabilization of employment. With the effort of the A. F. of L. , unemployment was greatly reduced, but not completely and jobs for workers became easier to attain and keep. Education The A. F. of L. has always supported the education of children and the free public school. They liked the idea of â€Å"enactments that will enforce the education of children. † They supported free textbooks to the school children and the establishment of part time classes for the education of minors who were employed. Federal aid to the A. F of L. eant four items: (1) able to pay the teachers; (2) aid to protect the health of the student; (3) scholarships to help those in need to further education; and (4) support in a school building program. Extra funds would be distributed based on need. In 1920, the Workers† Education Bureau was established with the help of the A. F. of L. The bureau was to promote and assist educational work done by the unions. The bureau became an important and very functional part of the A. F. of L. Merger of AFL and CIO The A. F. of L. and the C. I. O (another strong union) saw that unions would be better able to serve their members and the community if a labor unity was reached. Talks soon started with the help of President Roosevelt but were soon halted by both sides in 1939. Talks did not resume until 1942 where an agreement was negotiated. The agreement was signed by three members of both unions who were put in charge of the agreement. But the major leaders of both unions accused the other of raiding They said that talks could not go farther until they agreed that neither side would raid and the war was over. Year after year, very little progress was made, but enough to keep the talks going. Serious negotiations were not made until 1947. Closer cooperation between both groups slowly began with the help of local groups affiliated with the two unions. In 1954, both sides agreed to the no-raiding policy. The new A. F. L-C. I. O spent time examining their differences standing in the way of finalizing their unity. In 1955, all differences were sorted out and on February 9, the Merger Agreement was signed. On this day, the American Federation of Labor finished its seventy-five years of existence.